Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Jennifer Mayuri Douglass, APN, FNP

Individual provider Family Nurse Practitioner · NPI 1922512458

Jennifer Mayuri Douglass, APN, FNP is a Nurse Practitioner in Glenview, Illinois. Qualified in 2017, 9 years ago. Practices with Endeavor Health Medical Group, a 3,348-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Illinois.

Years since qualifying
9
Licensed in
IL
In the registry since
2017
Specialties on file
3
What do these letters mean?
APN — Advanced Practice Nurse
The umbrella title some states use for nurse practitioners and other advanced practice nurses.
FNP — Family Nurse Practitioner
A nurse practitioner who treats patients of all ages, much like a family doctor.

See every abbreviation used in this directory →

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Practice location Address checks out

2050 Pfingsten Rd Ste 360
Glenview, IL 60026-1313
Phone: (847) 998-4170
Fax: (847) 998-4165
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 121 S Wilke Rd Ste 606, Arlington Heights, IL 60005-1529 — (224) 535-7155

Specialties & licences

Nurse Practitioner (primary) Taxonomy 363L00000X · Licence 209016884 (IL)
Family Nurse Practitioner Taxonomy 363LF0000X · Licence 209.016884 (IL)
Registered Nurse Taxonomy 163W00000X · Licence 041.402891 (IL)

Record details

NPI number1922512458
Entity typeIndividual (Type 1)
GenderFemale
Credentials APN , FNP
Sole proprietorNo
NPI enumeratedNovember 20, 2017
Last updated in NPPESJune 7, 2021
Certification dateJune 7, 2021

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2017 (9 years in practice)
Group practice Endeavor Health Medical Group — 3348 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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